Charles D Randolph, MD in Grand Coulee, WA

Charles D Randolph, MD is a medicare enrolled "Family Medicine" physician in Grand Coulee, Washington. He went to Loma Linda University School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Douglas, Grant, Lincoln And Okanogan Counties Public Hospital District and his current practice location is 411 Fortuyn Rd, Grand Coulee, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 633-1911.

Charles D Randolph is licensed to practice in Washington (license number MD61172546) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760040281.

Contact Information

	Charles D Randolph, MD
	411 Fortuyn Rd, Grand Coulee, WA 99133-8718
	(509) 633-1911
	(509) 633-3644

Map and Direction

Physician's Profile

Full Name	Charles D Randolph
Gender	Male
Speciality	Family Practice
Experience	5 Years
Location	411 Fortuyn Rd, Grand Coulee, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles D Randolph attended and graduated from Loma Linda University School Of Medicine in 2019

NPI Data:

NPI Number: 1760040281
Provider Enumeration Date: 05/30/2019
Last Update Date: 07/07/2022

Medicare PECOS Information:

PECOS PAC ID: 1254667439
Enrollment ID: I20220526001092

Medical Identifiers

Medical identifiers for Charles D Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760040281	NPI	-	NPPES
2136043	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD61172546 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Assured Home Health	Moses lake, WA	Home health agency
Coulee Medical Center	Grand coulee, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Douglas, Grant, Lincoln And Okanogan Counties Public Hospital District	9335050285	22

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles D Randolph allows following entities to bill medicare on his behalf.

Entity Name	Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265422935 PECOS PAC ID: 9335050285 Enrollment ID: O20040311000181

Entity Name	Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1184844185 PECOS PAC ID: 9335050285 Enrollment ID: O20061104000547

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles D Randolph is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Charles D Randolph, MD 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 Ph: (509) 633-1911	Charles D Randolph, MD 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 Ph: (509) 633-1911

Reviews and Comments

Family Medicine Doctors in Grand Coulee, WA

Jessica Lu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1911 Fax: 509-633-3644
Jennifer Knox, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 Fax: 509-633-1933
Roy Allen Myers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1911 Fax: 509-633-1933
Leah G Kobes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 Fax: 509-633-1933

Charles D Randolph, MD - Medicare Family Practice in Grand Coulee, WA